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General NPI Number Information
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NPI Number | 1750388377
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Entity Type | Individual
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Provider Name | SANDRA M CANDELARIO D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2005
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | A6 CALLE MAIN
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City | CANOVANAS
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State | PR
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Zip | 00729-3550
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Country | US
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Telephone | 787-876-3372
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Fax | 787-876-3372
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Provider Business Mailing Address
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Address Line | PO BOX 567
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City | CANOVANAS
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State | PR
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Zip | 00729-0567
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Country | US
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Telephone | 787-876-3372
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 281
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4896
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License Number State | GA
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